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HomeMy WebLinkAboutEDAW - INSURANCE CERTIFICATE (18)MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER
LOS-000497746-16
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh Risk $ Insurance Services NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
CA License #0437153 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
777 South Figueroa Street AFFORDED BY THE POUCIES DESCRIBED HEREIN.
Los Angeles, CA 90017 COMPANIES AFFORDING COVERAGE
Attn: Lori Bryson 213-346-5464
COMPANY
6510B-POLLU-CAS-05 06 A N/A
INSURED
COMPANY
EDAW, INC.
B N/A
240 E. MOUNTAIN AVENUE
COMPANY
FORT COLLINS, CO 80524
C N/A
COMPANY
D Illinois Union Insurance Company
COVERAGES;
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MMIDDIYY)
POLICY EXPIRATION
DATE(MMIDDIYY)
LIMITS
GENERAL UABIUTY
GENERAL AGGREGATE
$
PRODUCTS - COMP/OP AGG
_
$
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE E OCCUR
PERSONAL & ADV INJURY
$
EACH OCCURRENCE
$
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE jAny one fire)
$
MED EXP IAny oneperson)
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO
BODILY INJURY
$
ALL OWNED AUTOS
SCHEDULED AUTOS
(Per person)
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY -
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
A - j I OTH.
TORY LIMITS I I ER
EL EACH ACCIDENT
$
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
EL DISEASE -POLICY LIMIT
$
EL DISEASE -EACH EMPLOYEE
$
O H
D (CONTRACTORS
CPM G23565973 001
12/02/05
06/01/06
$MM PER CLAIM/$1MM AGGREGATE
POLLUTION LIABILITY !-CLAIMS
MADE"
$100,000 SIR
DEFENSE INCLUDED
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS
RE: PROJECT #4F002.01 / GARDENS ON SPRING CREEK CHILDREN'S GARDEN
CERTIFICATE;140MER ;
CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE HALL ENDEAVOR TO MAIL fp DAYS WRITTEN NOTICE TO THE
CITY OF FORT COLLINS
ATTN: JAMES B. O'NEILL II
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
DIRECTOR OF PURCHASING RISK MGMT.
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES. OR THE
P.O. BOX 580
FORT COLLINS, CO 80522-0580
ISSUER OF THIS CERTIFICATE.
MARSH USA INC.
BY: David Denihan �/%A�•il/ilM
MM1(3/02jVALID AS OF: 12/02/05
MARSH CERTIFICATE OF INS 10J►tit E CERTIFICATE NUMBER
CERTIFICATE
__
lr li C Aii Iir+.7�JR{11y1.IG LOS-000497741-18
_
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh Risk & Insurance Services NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
CA License #0437153 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
777 South Figueroa Street AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Los Angeles, CA 90017 COMPANIES AFFORDING COVERAGE
Attn: Lori Bryson 213-346-5464
COMPANY
6510E-POLLU-CAS-05 O6 A N/A
INSURED
COMPANY
EDAW, INC.
B NIA
240 E. MOUNTAIN AVENUE
COMPANY
FORT COLLINS, CO 80524
C N/A
COMPANY
D Illinois Union Insurance Company
COVERAGES
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MMIDDIYY)
POLICY EXPIRATION
DATE(MMIDDIYY)
LIMITS
GENERAL
LIABILITY
GENERAL AGGREGATE
$
PRODUCTS-COMP/OP AGG
$
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PERSONAL & ADV INJURY
$
EACH OCCURRENCE
$
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
$
MED EXP (Any oneperson)
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY,
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
A - H-
70RV LIMITS ER
EL EACH ACCIDENT
$
THE PROPRIETOR/ INCL
EL DISEASE-POLICYPARTNERSIEXECUTIVE LIMIT
$
EL DISEASE -EACH EMPLOYEE
$
OFFICERS ARE: EXCL
OTHER
i
D
CONTRACTORS
CPM G23565973 001
12/02105
06/01/06
$MM PER CLAIM/$1MM AGGREGATE
POLLUTION LIABILITY
"CLAIMS MADE"
$100,000 SIR
DEFENSEINCLUDED
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES!SPECIAL ITEMS
RE: COMMUNITY HORTICULTURE CENTER- EDAW JOB #7FO8210.
CERTIFICATE; HOLDER
CANCELLA`nCM
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 'In DAYS WRITTEN NOTICE TO THE
CITY OF FORT COLLINS
PURCHASING DIVISION
CERTIFICATE HOLDER NAMED HEREN, BUT FAILURE TO MAIL SUCH NOTICE SHALL MPOSE NO OBLIGATION OR
P.O. BOX 580
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES. OR THE
FORT COLLINS, CO 80522-0580
ISSUER OFTHISCERTIFKATE.
MARSH USA INC.
-/�
BY: David Denihan .�/!f�ptowm4aw
MI1(310Zj VALID AS OF: 12/02/05
MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER
CERTIFICATE INSURANCE
,Y, V
LOS-000495320-14
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh Risk & Insurance Services NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
CA License #0437153 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
777 South Figueroa Street AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Los Angeles, CA 90017 COMPANIES AFFORDING COVERAGE
Attn:Lori Bryson 213-346-5464
COMPANY
651 OB-PROF-CAS-05_06 INS A ACE American Insurance Company
INSURED
COMPANY
EDAW, INC.
B HARTFORD CASUALTY INSURANCE CO.
240 E. MOUNTAIN AVENUE
FORT COLLINS, CO 80524
COMPANY
C TWIN CITY FIRE INSURANCE CO./HARTFORD
COMPANY
D Illinois Union Insurance Company
COVERAGES
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDDIYY)
POLICY EXPIRATION
DATE (MMIDDIYY)
LIMITS
A
GENERAL
LIABILITY
HDOG21702316
12/02/05
04/01/06
GENERAL AGGREGATE
$ 2,000,000
X
PRODUCTS - COMPIOP AGG
$ 2,000,000
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE I OCCUR
PERSONAL & ADV INJURY
$ 1 ,0()0,0()0
EACH OCCURRENCE
$ 1,000,000
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
$ 1,000,000
MED EXP (Any oneperson)
$ 5,000
B
AUTOMOBILE
LIABILITY
57UENTL6235
07/01/05
07/01/06
COMBINED SINGLE LIMIT
$ 1,000,000
X
ANY AUTO
BODILY INJURY
$
ALL OWNED AUTOS
SCHEDULED AUTOS
(Per person)
BODILY INJURY
(Per amident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
57WENP6960
07/01/05
07/01/06
U- H
X TORY LIMITS ER
EL EACH ACCIDENT
--
$ 1,000,000
EL DISEASE -POLICY LIMIT
$ 1,000,000
THE PROPRIETORI X INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
EL DISEASE -EACH EMPLOYEE
$ 1,000,000
OTHER
$1.000,000
D
ARCHITECTS & ENG.
EON G21654693 001
12/02(05
04/01/06
PER CLAIM/AGGREGATE
PROFESSIONAL LIABILITY
"CLAIMS MADE"
DEFENSE INCLUDED
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECULL ITEMS
RE: PROJECT #04030071.01 / OLD TOWN SQUARE PLAZA RENOVATIONS P-957
THIS CERTIFICATE IS ISSUED AS RESPECTS LIABILITY ARISING OUT OF THE WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED.
INSURANCE IS PRIMARY AND NONCONTRIBUTING (GL & AL) WITH OTHER INSURANCE MAINTAINED BY THE CERTIFICATE HOLDER. SEE
ATTACHED WAIVER OF SUBROGATION.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE MALL ENDEAVOR TO MAIL I0 DAYS MITTEN NOTICE TO THE
CITY OF FORT COLLINS
ATTN: JOHN STEPHEN, CPPO/SENIOR BUYER
CERTIFICATE HOLDER NAMED HEREIN. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
P.Q. BOX 580
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
FORT COLLINS, CO 80522-0580
ISSUER OF THIS CERTIFICATE.
MARSH USA INC. I�//��
BY: David Denihan �jfjfw.� A;*e4d M
MM1(3102) VALID AS OF: 12/02/05
MARSH CERTIFICATE OF INSURANCE CERTIFICATE
51os000494958
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh Risk & Insurance Services NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
CA License #0437153 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
777 South Figueroa Street AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Los Angeles, CA 90017 COMPANIES AFFORDING COVERAGE
Attn: Lori Bryson 213-346-5464
COMPANY
6510E-PROF-CAS-0506 WSAI A ACE American Insurance Company
INSURED
COMPANY
EDAW, INC.
B HARTFORD CASUALTY INSURANCE CO.
240 E. MOUNTAIN AVENUE
FORT COLLINS, CO 80524
COMPANY
C TWIN CITY FIRE INSURANCE CO./HARTFORD
COMPANY
D Illinois Union Insurance Company
COVERAGES1
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MMIDDIVY)
POLICY EXPIRATION
DATE (MMIDD/YY)
LIMITS
A
GENERAL LIABILITY 'HDOG21702316
12/02/05
04/01/06
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS. COMP/OP AGG
$ 2,000,000
X COMMERCIAL GENERAL LIABILITY
PERSONAL &ADV INJURY
$ 1,000,000
CLAIMS MADE lxl OCCUR
EACH OCCURRENCE
$ 1,000,000
OWNER'S& CONTRACTOR'S PROT
FIRE DAMAGE (Anyone file)
$ 1,000,000
MED EXP (Any one rson)
$ 5,000
B
AUTOMOBILE
LIABILITY
57UENTL6235
07/01/05
07/01/06
COMBINED SINGLE LIMIT
$ 1,000,000
X
ANY AUTO
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
57WENP6960
07/01/05
07/Ol/06
X TORV LIMITS ER
EL EACH ACCIDENT
$ 1,000,000
EL DISEASE -POLICY LIMIT
$ 1,000,000
THE PROPRIETOR/ X INCL
PARTNECEXECUTIVE
OFFICERS ARE: EXCL
EL DISEASE -EACH EMPLOYEE
$ 1 ,000,000
OTHER
$1,000,000
D
ARCHITECTS & ENG.
EON G21654693 001
12/02/05
04/01/06
PER CLAIM/AGGREGATE
PROFESSIONAL LIABILITY
"CLAIMS MADE"
DEFENSE INCLUDED
DESCRIPTION OF OPERATIONSA-OCATIONS/VEHICLESISPECIAL ITEMS
RE: COMMUNITY HORTICULTURE CENTER - EDAW JOB #7FO8210. ALL OPERATIONS OF THE NAMED INSURED. CITY OF FORT COLLINS
PURCHASING DIVISION AND ITS AFFILIATED ENTITIES ARE NAMED AS ADDITIONAL INSUREDS (EXCEPT FOR WORK COMP AND PROFESSIONAL
LIABILITY) BUT ONLY AS RESPECTS LIABILITY ARISING OUT OF THE NAMED INSURED'S OPERATIONS. SEE ATTACHED WAIVER OF
SUBROGATION.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WU ENDEAVOR TO MAIL An DAYS WRITTEN NOTICE TO THE
CITY OF FORT COLLINS
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
PURCHASING DIVISION
P.O. BOX 580
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, RS AGENTS OR REPRESENTATIVES, OR THE
FORT COLLINS, CO 80522-0580
ISSUER OF THIS CERTIFICATE.
MARSH USA INC.
By, David Denihan
MM1(3/02) VALID AS OF: 12/02/05
DATE (MWDDrYY)
ADDITIONAL INFORMATION
LOS-004494955-18 12/02/05
PRODUCER COMPANIES AFFORDING COVERAGE
_
Marsh Risk & Insurance Services COMPANY
CA License #0437153
777 South Figueroa Street E N/A
Los Angeles, CA 90017
Attn: Lori Bryson 213-346-5464 COMPANY
F
0651OB-PROF-CAS-05 06 WSAI
INSURED
COMPANY
EDAW, INC.
240 E. MOUNTAIN AVENUE
G
FORT COLLINS, CO 80524
COMPANY
H
TEXT
POLICY NUMBER: HDO G21702316 COMMERCIAL GENERAL LIABILITY
CG 20 10 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION
This endorsement modes insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Location(s) Of Covered Operations
Or Organization(s):
AS REQUIRED BY WRITTEN CONTRACT
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II - Who Is An Insured is amended to B. With respect to the insurance afforded to these
include as an additional insured the person(s) or additional insureds, the following additional
organization(s) shown in the Schedule, but only exclu-sions apply:
with respect to liability for "bodily injury", This insurance does not apply to "bodily injury"
"property damage" or "personal and advertising or "property damage" occurring after:
injury" caused, in whole or in part, by:
1. Your acts or omissions; or 1. All work, including materials, parts or
2. The acts or omissions of those acting on equipment furnished in connection with such work,
your behalf; on the project (other than service, maintenance or
repairs) to be perfonned by or on behalf of the
in the performance of your ongoing operations for additional insured(s) at the location of the covered
the additional insured(s) at the location(s) desig- operations has been completed; or
-nated above-nated above 2. That portion of "your work" out of which
the injury or damage arises has been put to its in-
-tended use by any person or organization other than
another contractor or subcontractor en -gaged in
performing operations for a principal as a part of the
same project.
CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1
CERTIFICATE HOLDER
CITY OF FORT COLLINS
PURCHASING DIVISION
P.O. BOX 580
FORT COLLINS, CO 80522-0580
MARSH USA INC. BY
David Denihan
Page
CERTIFICATE NUMBER
MARSH CERTIFICATE OF INSURMGE LOS-000495083-16
PRODUCER
Marsh Risk & Insurance Services
CA License #0437153
777 South Figueroa Street
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Los Angeles, CA 90017
COMPANIES AFFORDING COVERAGE
Attn: Lori Bryson 213-346-5464
COMPANY
6510B-PROF-CAS-0506 WS
A ACE American Insurance Company
INSURED
COMPANY
EDAW, INC.
B HARTFORD CASUALTY INSURANCE CO.
240 E. MOUNTAIN AVENUE
FORT COLLINS, CO 80524
COMPANY
C TWIN CITY FIRE INSURANCE CO./HARTFORD
COMPANY
D Illinois Union Insurance Company
COVERAGES
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE
BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MM/DDIYY)
POLICY EXPIRATION
DATE(MMIDDIYY)
LIMITS
A
GENERAL LIABILITY
HDO G21702316
12/02/05
04/01/06
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
X COMMERCIAL GENERAL LIABILITY
PERSONAL &ADV INJURY
$ 1,000,000
CLAIMS MADE � OCCUR
EACH OCCURRENCE
$ 1,000,000
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Anyone fire)
$ 1,000,000
MED EXP jAny oneperson)
$ 5,000
B
AUTOMOBILE
LIABIUTY
57UENTL6235
07/01/05
07/01/06
COMBINED SINGLE LIMIT
$ 1,000,000
X
ANY AUTO
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULEDAUTOS
BODILY INJURY
(Peramident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
57WENP6960
07/01/05
07/01/06
X I TORY LIMITS I I ER
_. _.
EL EACH ACCIDENT
$ 1,000,000
THE PROPRIETOR/ X INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
EL DISEASE -POLICY LIMIT
Is 1,000,000
EL DISEASE -EACH EMPLOYEE
$ 1,000,000
OTHER$1,000,000
D
ARCHITECTS & ENG.
EON G21654693 001
12/02/05
04/01/06
PER CLAIM/AGGREGATE
PROFESSIONAL LIABILITY
"CLAIMS MADE"
DEFENSE INCLUDED
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECl/LL ITEMS
RE: PROJECT #4F002.01 / GARDENS ON SPRING CREEK CHILDREN'S GARDEN
THIS CERTIFICATE IS ISSUED AS RESPECTS LIABILITY ARISING OUT OF THE WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED.
SEE ATTACHED WAIVER OF SUBROGATION ENDORSEMENT.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL I0 DAYS WRITTEN NOTICE TO THE
CITY OF FORT COLLINS
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
ATTN: JAMES B. O'NEILL II
DIRECTOR OF PURCHASING RISK MGMT.
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
P.O. BOX 580
FORT COLLINS, CO 80522-0580
ISSUER OF THIS CERTIFICATE
MARSH USA INC. IA
BY: David Denihan �Ifi�.Lt/�iIIM
MM1(3102) VALID AS OF: 12/02/05
nerc mumnm I
ADDITIONAL INFORMATION
LOS-000495083-116 12/02/05
COMPANIES AFFORDING COVERAGE
PRODUCER
COMPANY
Marsh Risk & Insurance Services
CA License #0437153
E N/A
777 South Figueroa Street
Los Angeles, CA 90017
COMPANY
Attn: Lori Bryson 213-346-5464
F
06510E-PROF-CAS-05 06 WS
INSURED
COMPANY
EDAW, INC.
G
240 E. MOUNTAIN AVENUE
FORT COLLINS, CO 80524
COMPANY
H
TEXT
POLICY NUMBER: HDO G21702316 COMMERCIAL GENERAL LIABILITY
CG 20 10 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Location(s) Of Covered Operations
Or Organization(s):
AS REQUIRED BY WRITTEN CONTRACT
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II - Who Is An Insured is amended to B. With respect to the insurance afforded to these
include as an additional insured the person(s) or additional insureds, the following additional
organization(s) shown in the Schedule, but only exclu-sions apply:
with respect to liability for "bodily injury", This insurance does not apply to "bodily injury"
"property damage" or "personal and advertising or "property damage" occurring after:
injury" Caused, in whole or in part, by:
1. Your acts or omissions; or 1. All work, including materials, parts or
2. The acts or omissions of those acting on equipment furnished in connection with such work,
your behalf; on the project (other than service, maintenance or
repairs) to be performed by or on behalf of the
in the performance of your ongoing operations for additional insured(s) at the location of the covered
the additional insured(s) at the location(s) desig- operations has been completed; or
-nated above-nated above 2. That portion of "your work" out of which
the injury or damage arises has been put to its in-
-tended use by any person or organization other than
another contractor or subcontractor en -gaged in
performing operations for a principal as a part of the
same project.
CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1
CERTIFICATE HOLDER
CITY OF FORT COLLINS
ATfN: JAMES B. O'NEILL II
DIRECTOR OF PURCHASING RISK MGMT.
P.O. BOX 580
FORT COLLINS, CO 80522-0580
MARSH USA INC. BY
David Denihan
Page
WAIVER OF OURRIGHT TORECOVERFROM OTHERS ENDORSEMENT
This endorsement changes the policy to which it is attached effective on inception date of
the policy unless adifferent date is indic ate d below.
This endorsemal, effective 12:01 AM 07/01N5 forms apart of Policy No.57VtENP6960
Issued to EDAW, Inc.
By: Twin City Fue Insurance Company
We have the right to recover our payments from anyone liable for an injury covered by
this policy. We will not enforce our right against any person or organization for whom
youperform work under a written contract that requires you to obtain this agreement
from us.
This agreement shall not operate directly or indirectly to benefit anyone not named in the
agreement.
Schedule
AS REQUIRED BY WRITTEN CONTRACT
Countersigned
Form WC 99 M 03 B Printed in U.S.A. (Ed. 8fOti)
MARSH CERTIFICATE df INSURANCE ' SOS-00049774914
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh Risk & Insurance Services NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
CA License #0437153 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
777 South Figueroa Street AFFORDED BY THE POUCIES DESCRIBED HEREIN.
Los Angeles, CA 90017 COMPANIES AFFORDING COVERAGE
Attn: Lori Bryson 213-346-5464
COMPANY
651OB-POLLU-CAS-05_06 A N/A
INSURED
COMPANY
EDAW, INC.
240 E. MOUNTAIN AVENUE
FORT COLLINS, CO 80524
B N/A
COMPANY
C NIA
COMPANY
D Illinois Union Insurance Company
COVERAGES
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
ORDATE
TYPE OF INSURANCE
POLICY NUMBER POLICY
EFFECTIVE
(MMIDDIYY)
POLICY EXPIRATION
DATE (MMIDDIYY)
LIMITS
GENERAL LIABILITY
GENERAL AGGREGATE
$
PRODUCTS - COMPIOP AGG
$
COMMERCIAL GENERAL LIABILITY
PERSONAL &ADV INJURY
$
CLAIMS MADE 11 OCCUR
OWNER'S & CONTRACTOR'S PROT
EACH OCCURRENCE
$
FIRE DAMAGE (Any one file)
$
MED EXP (Anv onePerson)
$
AUTOMOBILE
LIABIUTY
COMBINED SINGLE LIMIT
$
ANY AUTO
ALL OWNED AUTOS
BODILY INJURY
(Per Person)
$
SCHEDULED AUTOS
BODILY INJURY
(Per aaident)
$
HIREDAUTOS
NON-OWNEDAUTOS
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
�$
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
$
EN WORKERS COMPSATIONAND
EMPLOYERS' LIABILITY
U- H
TORY LIMITS ER
EL EACH ACCIDENT
$
EL DISEASE -POLICY LIMIT
$
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
EL DISEASE -EACH EMPLOYEE
$
OTHER
D
CONTRACTORS
POLLUTION LIABILITY
CPM G23565973 001 12/02/05
"CLAIMS MADE"
06/01/06
$MM PER CLAIM/$1MM AGGREGATE
$100,000 SIR
IDEFENSEINCLUDED
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES!SPECIAL ITEMS
RE: PROJECT #04030071.01 / OLD TOWN SQUARE PLAZA RENOVATIONS P-957
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL _30 DAYS WRITTEN NOTICE TO THE
CITY OF FORT COLLINS
CERTIFICATE HOLDER NAMED HEREIN. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
ATTN: JOHN STEPHEN, CPPO/SENIOR BUYER
P.Q. BOX 580
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES. OR THE
FORT COLLINS, CiO 80522-0580
ISSUER OF THIS CERTIFICATE.
MARSH USA INC. --AA
By: David Denihan .�/1fif�.iK�AN
MM1(3/02} VALID AS OF: 12/02/05